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患者,女,64岁,以“2d内晕厥1次”入院,2d前站立时无诱因晕厥1次,持续1~2min自行醒来,发作前无胸闷、胸痛、头痛,无呼吸困难及咯血,无心悸及饥饿感,无天旋地转,无肢体活动不灵及大小便失禁。平素经常静坐2~3h。既往有高血压病史10年及糖尿病病史7年。无吸烟史。入院查体:血压128/64mm Hg(1 mm Hg=0.133kPa),体质量指数(body mass index,BMI)27.4kg/m2,神志清楚,颈静脉稍充盈,双肺呼吸音清,未闻及干湿啰音,心率92次/min,律齐,P2>A2,各瓣膜区未闻及杂音。腹软,无压痛,肝脾未触及,双下肢无水肿。入院后查D-二聚体定量5.38(正常值<0.55)mg/L(↑),丙氨酸氨基转移酶275U/L(↑),天门冬氨酸氨基转移酶152U/L(↑),
The patient, female, 64 years old, was admitted to the hospital within 2 days of “syncope in 2 days”. One day before 2 days, he was convicted without any incentive for syncope. She continued to awake for 1-2 minutes and had no chest distress, chest pain, headache, Hemoptysis, no heart palpitations and hunger, no spinner, no physical activity and incontinence. Usually sit 2 to 3 hours. Previous 10 years history of hypertension and 7 years history of diabetes. No smoking history. Admission examination: blood pressure 128/64 mm Hg (1 mm Hg = 0.133kPa), body mass index (BMI) 27.4kg / m2, conscious, a little jugular vein filling, lung breath sounds clear, not known Wet and dry rales, heart rate 92 beats / min, law Qi, P2> A2, the valve area did not smell and noise. Abdominal soft, no tenderness, liver and spleen not touched, no lower extremity edema. D-dimer was quantified 5.38 (normal value <0.55) mg / L (↑), alanine aminotransferase 275U / L (↑), aspartate aminotransferase 152U / L